In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a significant portion of their funding.
The United States Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the U.S. federal government created to protect the health of the U.S. people and providing essential human services. Its motto is "Improving the health, safety, and well-being of America". Before the separate federal Department of Education was created in 1979, it was called the Department of Health, Education, and Welfare (HEW).
An unfunded mandate is a statute or regulation that requires any entity to perform certain actions, with no money provided for fulfilling the requirements. This can be imposed on state or local government, as well as private individuals or organizations. The key distinction is that the statute or regulation is not accompanied by funding to fulfill the requirement.
The California Medical Assistance Program is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level. Benefits include ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder treatment, dental (Denti-Cal), vision, and long-term care and support. Medi-Cal was created in 1965 by the California Medical Assistance Program a few months after the national legislation was passed. Approximately 15.28 million people were enrolled in Medi-Cal as of September 2022, or about 40% of California's population; in most counties, more than half of eligible residents were enrolled as of 2020.
A group home, congregate living facility, care home, adult family home, etc., is a structured and supervised residence model that provides assisted living and medical care for those with complex health needs. Traditionally, the model has been used for children or young people who cannot live with their families or afford their own homes, people with chronic disabilities who may be adults or seniors, or people with dementia and related aged illnesses. Typically, there are no more than six residents, and there is at least one trained caregiver there 24 hours a day. In some early "model programs", a house manager, night manager, weekend activity coordinator, and four part-time skill teachers were reported. Originally, the term group home referred to homes of 8 to 16 individuals, which was a state-mandated size during deinstitutionalization. Residential nursing facilities, also included in this article, may be as large as 100 individuals in 2015, which is no longer the case in fields such as intellectual and developmental disabilities. Depending on the severity of the condition requiring one to need to live in a group home, some clients are able to attend day programs and most clients are able to live normal lifestyles.
The Oregon Health Plan is Oregon's state Medicaid program. It is overseen by the Oregon Health Authority.
The Michigan Department of Health and Human Services (MDHHS) is a principal department of state of Michigan, headquartered in Lansing, that provides public assistance, child and family welfare services, and oversees health policy and management.
Medicaid estate recovery is a required process under United States federal law in which state governments adjust (settle) or recover the cost of care and services from the estates of those who received Medicaid benefits after they die. By law, states may not settle any payments until after the beneficiary's death. States are required to adjust or recover all costs under certain circumstances, all involving long-term care arrangements. Federal law also gives states the option to adjust or recover the costs of all payments to health care providers except Medicare cost-sharing for anyone on Medicaid over the age of 55.
The Oklahoma Department of Human Services is an agency of the government of Oklahoma. Under the supervision of the Oklahoma Secretary of Health and Human Services, Oklahoma Human Services is responsible for providing help to individuals and families in need through public assistance programs and managing services for seniors and people with disabilities.
The Utah State Hospital (USH) is a mental hospital located in eastern Provo, Utah. The current superintendent is Dallas Earnshaw.
The Pennsylvania Department of Human Services is a state agency in Pennsylvania tasked to provide care and support to vulnerable citizens. With a range of program offices, the department administers various services including eligibility determination, foster care, early childhood development, services for individuals with disabilities, long-term living programs, and management of healthcare programs. The department consists of executive offices and seven program offices:
The Arkansas Department of Human Services (DHS) is a state agency of Arkansas, headquartered in Donaghey Plaza South of the Donaghey Complex, a five-story building on the southwest corner of Main Street and 7th Street, in Little Rock.
The Human Resources Administration or Department of Social Services (HRA/DSS) is the department of the government of New York City in charge of the majority of the city's social services programs. HRA helps New Yorkers in need through a variety of services that promote employment and personal responsibility while providing temporary assistance and work supports. Its regulations are compiled in title 68 of the New York City Rules. The current Commissioner of HRA is Molly Wasow Park, who was appointed to the position by Mayor Eric Adams. HRA is the largest city social services agency in the United States. It has a budget of $9.7 billion, employs over 14,000 people, and serves over 3 million New Yorkers.
The Oklahoma Secretary of Health and Human Services is a member of the Oklahoma Governor's Cabinet. The Secretary is appointed by the Governor, with the consent of the Oklahoma Senate, to serve at the pleasure of the Governor. The Secretary serves as the chief advisor to the Governor on public health and public assistance.
The state of North Carolina is undertaking a comprehensive policy shift on how the government budgets for and manages resources for mental health, developmental disability, and substance abuse services. The 1915 (b)(c) Medicaid Waiver Program was chosen by the North Carolina Department of Health & Human Services, Division of Medical Assistance as a way to control and more accurately budget for the rising costs of Medicaid funded services. The 1915 (b)(c) Waiver Program was initially implemented at one pilot site in 2005 and evaluated for several years. Two expansion sites were then added in 2012. Full statewide implementation is expected by July 1, 2013.
The Wisconsin Department of Health Services (WisDHS) is a governmental agency of the U.S. state of Wisconsin responsible for maintaining public health. It administers a wide range of services in the state and at state institutions, regulates hospitals and care providers, and supervises and consults with local public health agencies. Its responsibilities include public health; mental health and substance abuse; long-term support and care; services to people with disabilities, medical assistance, and children’s services; aging programs; physical and developmental disability services; blindness disability programs; operation of care and treatment facilities; quality assurance programs; nutrition supplementation programs; medical assistance; and health care for low-income families, elderly, and the disabled.
The Office of the Assistant Secretary for Planning and Evaluation (ASPE) is the principal advisory group to the United States Secretary of the Department of Health and Human Services (HHS) on policy development and provides coordination and support for HHS's strategic and policy planning, planning and development of legislation, program evaluation, data gathering, policy-related research, and regulatory program.
As of 2017, approximately 1.4 million Americans live in a nursing home, two-thirds of whom rely on Medicaid to pay for their care. Residential nursing facilities receive Medicaid federal funding and approvals through a state health department. These facilities may be overseen by various types of state agency.
The New Jersey Department of Human Services (DHS) is the largest state government agency in New Jersey, serving about 1.5 million New Jerseyans. DHS serves seniors, individuals and families with low incomes; people with developmental disabilities, or late-onset disabilities; people who are blind, visually impaired, deaf, hard of hearing, or deaf-blind; parents needing child care services, child support and/or healthcare for their children; and families facing catastrophic medical expenses for their children.
Womazetta Robinson-Jones is an American social services executive currently serving as the Secretary of the Executive Office of Health and Human Services (EOHHS) of the State of Rhode Island. Jones was appointed by Governor Gina N. Raimondo and confirmed by the Rhode Island Senate.
